Aneurysm of an aberrant right subclavian artery: Report of a surgically treated case

V. Gordini, M. Collice, E. Fedriga, A. Moreo, M. Morello, A. Porrini, F. Donatelli

Research output: Contribution to journalArticle

Abstract

A 53-year-old man was admitted for treatment of an aberrant right subclavian artery aneurysm that had been diagnosed 5 years earlier and had recently begun to enlarge. The aneurysm, which involved the right subclavian artery from its origin, measured 47 mm in diameter and about 10 cm in length. Because of the lesion's size and friability, a 2-stage operation was performed. In the 1st stage, the right subclavian and right vertebral arteries were revascularized with double bypass grafts via a right cervical approach. In the 2nd stage, the patient was repositioned and a left thoracotomy incision was made. With the aid of left-heart bypass, the aorta was cross-clamped proximal and distal to the lesion, and the aneurysmal orifice was closed with a Dacron patch. The patient was discharged from the hospital on the 17th postoperative day and remains asymptomatic 24 months later. We recommend the 2-stage technique for similar cases because it prevents limb ischemia and reduces the risk of hemorrhagic and embolic complications.

Original languageEnglish
Pages (from-to)76-79
Number of pages4
JournalTexas Heart Institute Journal
Volume18
Issue number1
Publication statusPublished - 1991

Keywords

  • Abnormalities/congenital defects
  • aneurysm
  • subclavian artery, right
  • surgery

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Gordini, V., Collice, M., Fedriga, E., Moreo, A., Morello, M., Porrini, A., & Donatelli, F. (1991). Aneurysm of an aberrant right subclavian artery: Report of a surgically treated case. Texas Heart Institute Journal, 18(1), 76-79.